胃食管反流病误诊13例分析

Analysis of 13 cases of misdiagnosis of gastroesophageal reflux disease

目的:探讨胃食管反流病误诊的原因。方法:收治反流性食管病就诊前被误诊患者13例,经仔细询问病情及相关检查,其中10例患者拟诊为胃食管反流病,给予质子泵抑制剂奥美拉唑肠溶胶囊治疗,3例患者拟诊为胆汁反流性胃食管病,给予熊去氧胆酸治疗。结果:13例被误诊的患者均取得了明显的疗效。结论:由本组患者的诊疗措施可知胃食管反流病的误诊可以避免或减少。

Objective:To investigate the causes of misdiagnosis of gastroesophageal reflux disease.Methods:13 patients with reflux of esophageal disease before treatment was misdiagnosed were selected,after careful inquiry condition and related inspection,which 10 cases in patients with suspected for gastro esophageal reflux disease,treated with proton pump inhibitors omeprazole enteric coated capsules in the treatment,3 cases of in patients with suspected for bile reverse flow of esophageal and gastric disease given ursodeoxycholic acid treatment.Results:13 cases of patients were diagnosed with obvious curative effect.Conclusion:The diagnosis and treatment of gastroesophageal reflux disease can be avoided or reduced by the diagnosis and treatment of this group of patients.